Immunization Update SNOW Conference October 10, 2014 Trang Kuss, RN, MN, MPH Office of Immunization and Child Profile www.doh.wa.gov/immununizations/schoolandchildcare Topics for Today • School immunization requirements • Reporting • Upcoming changes o CIS and COE revision update o Varicella Implementation Plan School Requirements for School Year 2014-15 Immunization Requirements DTaP 5 Exceptions Five doses grades K-12 4 doses required if 4th dose given on or after 4th birthday DTaP given after 7 years of age counts for Tdap dose Immunization Requirements TdaP 1 One dose for grades 6-12 if student is at least 11 years old Just so you know… Tdap given between ages 7 to 10 counts towards the requirement Td only: Tdap required Immunization Requirements DTaP/Tdap/Td Students 7 years of age or older ≤4 doses of DTaP Tdap for catch-up No DTaP Tdap followed by 2 Td DTaP given instead of Tdap DTaP counts for Tdap Immunization Requirements Hep B 3 Three doses grades K-12 Immunization Requirements Hep B • Min interval between doses 1 and 2 = 1 month 2 and 3 = 2 months 1 and 3 = 16 weeks • Min interval between doses 1 and 2 = 1 month 2 and 3 = 2 months 1 and 3 = 12 weeks • Min age for dose 3 = 24 weeks • Min age for dose 3 = 4 mos K-7th grade 8th-12th grade Immunization Requirements IPV 4 Exception Four doses grades K-12 3 doses required if 3rd dose given on or after 4th birthday Immunization Requirements IPV K-3rd grade Dose 4, if given on or after August 7, 2009 Must be given ≥ 4 years of age Separated from dose 3 by ≥ 6 months Immunization Requirements IPV K-12th grade Dose 4, if given before August 7, 2009 4 week minimum interval must separate all doses Dose 1 must be given ≥ 6 weeks of age Dose 4 must be given ≥ 18 weeks of age Immunization Requirements mmr 2 Two doses grades K-12 Immunization Requirements varicella 2 Two doses grades K-6 Grades 7-12: recommended, but not required Immunization Requirements varicella Valid provider verification Blood test showing titer for immunity Option one Documentation in iis or cis printout Option two Letter from provider (out of state valid) Option three Provider documents on cis hard copy Option four reporting two options: • Report in the Immunization Information System (IIS) (www.waiis.wa.gov) - OR - • Email export from Student Information System to email@example.com (NO hard copies of Skyward report forms please) Instructions for filling out the report: How to Complete the School Immunization Status Report (PPT) Reporting For those using the IIS: Email with username and password sent in Sept. to current users If new user, register here: http://survey.constantcon tact.com/survey/a07e9s5q 0a0hzlhgg9t/_tmp/greeti ng Any questions? email firstname.lastname@example.org Reporting Preschool/child care reporting: • Do NOT use the IIS, but use online survey tool: http://survey.constantcontact.com/survey/a07e6ehotx6h79ls3x5/a011mh853m8g c/questions – OR – • Email export from Student Information System to email@example.com (NO hard copies of report forms please) More information about preschool/child care reporting: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ChildCareStatusReporting.aspx Cis changes •Separated tdap and td • removed parent verification of varicella • additional rows for pcv and meningococcal vaccines • added parent consent for iis 1st page: Medical, Personal, and Religious Exemption Request COE changes 2nd page: Religious Membership Exemption Request DRAFT Varicella Implementation Plan No Doses Required 7 10 11 12 SY Two Dose 14-15 8 9 9 10 11 12 15-16 11 12 16-17 17-18 K K 1 2 3 4 5 K 1 2 3 4 5 6 7 K 1 2 3 4 5 6 7 8 1 2 3 4 5 6 Pending State Board of Health approval in November 7 8 6 8 9 9 10 10 11 12 RESOURCES School and Child Care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization Vaccines Required charts: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/VaccineRequirements Conditional status FAQs in Immunization Manual for School, Preschool, and Child Care: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolManual Individual Vaccine Requirements Summary: www.doh.wa.gov/Portals/1/Documents/Pubs/348-284IndividualVaccineReqs2014-15.pdf Email for help with determining student compliance: firstname.lastname@example.org Email for reporting questions: email@example.com Thank you so much! We really appreciate all you do! Questions??